| NPI | 1396073706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MD D0092165) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: OR MD176319) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2022-02-03 |